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A patient enters the emergency department in respiratory compromise. The team
is monitoring the patient using capnography and identifies that ETCO2 levels are
initially 33 mmHg and later 40 mmHg. From these readings, the team identifies
that the patient is progressing in what stage of respiratory compromise?
Respiratory
acidosis
Respiratory
failure
Respiratory
distress
Respiratory
arrest
3
Capnography can objectively assess the severity of a patient's respiratory distress.
Early on, the patient will often hyperventilate, leading to hypocapnia that is
reflected by a low ETCO2 value (less than 35 mmHg). As respiratory distress
increases, and the patient begins to tire, the ETCO2 value may return to the normal
range (35 to 45 mmHg). However, if the patient progresses to respiratory failure,
the ETCO2 level will increase to greater than 45 mmHg, which indicates
hypoventilation.
A patient comes to the emergency department complaining of palpitations and
"some shortness of breath." Cardiac monitoring is initiated and reveals the
following ECG rhythm strip. The provider interprets this strip as indicating
which arrhythmia?
Atrial fibrillation
Ventricular
tachycardia
Ventricular
fibrillation Atrial
flutter
Atrial flutter
A patient is experiencing respiratory distress secondary to an exacerbation of
chronic obstructive pulmonary disease. The patient begins to exhibit signs and
symptoms of worsening respiratory function and experiences respiratory arrest.
The team intervenes, delivering ventilations via BVM resuscitator. The team
,ACLS FINAL EXAM 2024 | 3 DIFFERENT VERSIONS
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would deliver 1 ventilation at which interval?
Every 3 to 4 seconds
Every 5 to 6 seconds
,ACLS FINAL EXAM 2024 | 3 DIFFERENT VERSIONS
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Every 7 to 8 seconds
Every 8 to 9 seconds
The team would deliver 1 ventilation every 5 to 6 seconds. Each ventilation
should last about 1 second and make the chest begin to rise.
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies that
the patient is in the earliest stage of this condition. Which stage would this be?
Select the correct answer to this question.
Respiratory
distress
Respiratory
arrest
Respiratory
acidosis
Respiratory
failure
Respiratory distress
Respiratory compromise occurs along a continuum, beginning with
respiratory distress, progressing to respiratory failure and then to
respiratory arrest
After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands.
Targeted temperature management is initiated. Which method(s) would be
appropriate for the resuscitation team to use?
Giving an ice-cold IV fluid bolus
Applying cooling blankets to the patient's
body Administering cool-mist oxygen
therapy Applying a cool compress to the
patient's forehead Using an endovascular
catheter
Giving an ice-cold IV fluid bolus
Applying cooling blankets to the
patient's body Using an endovascular
catheter
A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag- valve-mask (BVM) resuscitator. The development of
, ACLS FINAL EXAM 2024 | 3 DIFFERENT VERSIONS
WITH 50 QUESTIONS AND ANSWERS | LATEST
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which condition during the provision of care would lead the team to suspect that
improper BVM technique is being used?
Select the correct answer to this question.
Rib fracture
Esophageal
injury
Pneumothorax
Hypertension
Pneumothorax